| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,809 |
5,089 |
$204K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
791 |
720 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,119 |
1,973 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
802 |
758 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
571 |
496 |
$5K |
| 87428 |
|
91 |
89 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
86 |
76 |
$131.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
159 |
134 |
$115.88 |